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General NPI Number Information
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NPI Number | 1528967205
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Entity Type | Individual
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Provider Name | GERARD GONZALES BSN-RN
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Gender | Male
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2600 REDONDO AVE STE 500
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City | LONG BEACH
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State | CA
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Zip | 90806-2330
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Country | US
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Telephone | 844-562-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 21220 S WESTERN AVE APT 16
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City | TORRANCE
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State | CA
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Zip | 90501-2944
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Country | US
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Telephone | 424-599-3448
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 95300185
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License Number State | CA
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